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Lutzner cells : ウィキペディア英語版 | Lutzner cells
Lutzner cells were discovered by Marvin A. Lutzner, Lucien-Marie Pautrier, and Albert Sézary. These cells are also referred to as Pautrier’s abscess, Sézary’s cell, or Sézary-Lutzner cells. They are a form of T-lymphocytes that has been mutated〔Kumar, V., & et al. (2014). Robbins & Cotran Pathologic Basis of Disease, 9th Edition. Philadelphia, Pennsylvania: Elsevier Health Sciences.〕 This atypical form of T-lymphocytes contains T-cell receptors on the surface and is found in both the dermis and epidermis layers of the skin. Since Lutzner cells are a mutated form of T-lymphocytes, they develop in bone marrow and are transported to the thymus is order to mature.〔 The production and maturation stages occur before the cell has developed a mutation. Lutzner cells can form cutaneous T-cell lymphoma, which is a form of skin cancer.〔Lutzner, M. A. (1985). History of 2 cells in T cell lymphomas and leukemias: the cerebriform Lutzner cell in Sézary syndrome and the polylobulated or polypetaloid cell in acute T cell lymphoma/leukemia. Hautarzt, 36(12). 657-662.〕 ==Development of Lutzner Cells==
Lymphocytes are white blood cells that form from a blood stem cell, hemocytoblast, in bone marrow and travel to other parts of the body, normally specific lymphoid tissues, to mature. After being produced, the stem cell differentiates into lymphoid stem cells. Then, T-lymphocytes further mature and differentiate into lymphoblasts when the hormone thymosin is secreted from the thymus. Finally, specialized immune cells, B cells and T cells, and nonspecialized immune cells, nature killer cells, are created from the lymphoblasts. This process is referred to as Leukopoiesis. Lutzner cells are an atypical form of T-cell lymphocytes and are normally CD4+.〔Ehrlich, A., & Schroeder, C. (2008). Medical Terminology for Health Professions. Independence, Kentucky: Cengage Learning.〕 Lutzner cells develop because of clonal gene rearrangements in the T-cell receptor or antibody. This rearrangement occurs early in the differentiation process and creates novel T-cell receptors that mimic the structure of normal antibodies but are not able to function properly. This mutated form contains an enfolded nuclear membrane and has a cerebriform shape, resembling the shape and folds of the brain.〔Streilein, J. W. (1978). Lymphocyte Traffic, T-cell Malignancies and the Skin. The Journal of Investigative Dermatology, 71(3). 167-171.〕 Lutzner cells can be best seen through electron microscopy because it is able to show the 3-D structure of the cell.
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